CLINICAL EXAMINATION OF THE SHOULDER IN DISORDERS OF THE ROTATOR CUFF
Disorders of the rotator cuff are the main source of pain in the shoulder and despite recent progress in shoulder imaging, clinical examination remains a fundamental stage in evaluating pain in the region of the scapula. The rotator cuff of the shoulder consists of the tendons of insertion of the subscapularis, supraspinatus, infraspinatus, and teres minor muscles in the humerus, combined with the intra articular portion along the biceps. In this article, we will deal with lesions which are part of the blurred notion of impingement syndrome between the cuff and the coracoacromial ... Read More
Ch. Dumontier, L. Doursounian

 Techniques

Paralysis of the intrinsic muscles of the thumb will change the opposition function which is the result of a movement made up of three components: extension, adduction and pronation. The full movement of opposition is only possible if all the local anatomic structures are functional. A thumb with paralysis of the intrinsic muscles will be dependent on the extrinsic muscles which will progressively lead to major functional imbalance with the final result being a thumb stiffened in adduction and ...
F. Chaise 1.2.3, Ph. Bellemere 1.2, B. Chabaud 3.4.

 Synthesis - Development

It was Gilles Bousquet who has the merit of having first defined the original concept of dual mobility. The prosthetic head is mobile within a retentive polyethylene which is free to move within a metalback cup . Figure 1 : The principle of dual mobility ...
M.H. Fessy

 Tribute

In 1969 I was running an applied mechanics laboratory at the Ecole Catholique des Arts at Métiers – ECAM - in Lyon. A phone call from one of my suppliers in scientific materials, informed me that one of his cousins, Head of Clinic in Orthopaedics at the Hospices Civils de Lyon, was looking for an engineer to work on an innovative project; making a knee prosthesis. Naturally I hesitated before meeting this surgeon given my lack of knowledge in anatomy, but accepted to meet with him for a first ...
A. Rambert

 Focus

The main problem with dual mobility cups in the medium term is intraprosthetic dislocation. The head comes out of the polyethylene through wear of the retentive rim. The head then lodges itself in the metalback shell which can be seen by a characteristic view on x.ray. . Alas this type of incident is reported in all the literature on series of dual mobility cups, which is an indicator of this sad reality. ...
M.H. Fessy

 Focus

Management of massive irreparable rotator cuff tears is challenging, indeed, and remains a subject of controversy. Several therapeutic options are available, but none of them is fully satisfactory. Deltoid or latissimus dorsi flaps should be reserved for young patients (< 65 years) with intact subscapularis tendon and low-grade osteoarthritis (Fukuda <3 ). In older patients, surgical arthrolysis (alone or in association with acromioplasty or tenotomy of the long head of the biceps) has shown its ...
M. Juvenspan, G. Nourissat, L. Doursounian

 Techniques

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Yves KERJEAN

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